Brain Injuries
Conditions
Keywords
brain injury, traumatic brain injury, training, teaching, curriculum
Brief summary
The Midwest Advocacy Project (MAP) is a community-based multiple-site randomized practical behavioral trial of advocacy skill training for individuals with traumatic brain injury (TBI), their families, and significant others. The purpose is to evaluate the efficacy of a 4-session advocacy training program to improve behavioral advocacy skills compared to self-directed advocacy training of the same session frequency. Groups will be randomly assigned to either a programmed group or a self-directed group in collaboration with the Brain Injury Associations of Minnesota, Iowa, and Wisconsin each year over the 5 year study period. The primary outcome is pre-post measures of written and verbal advocacy skill measured by the Advocacy Behavior Rating Scale. It is hypothesized that subjects who receive programmed advocacy training will show greater positive change on pre-post measures of advocacy skill measures than subjects receiving self-directed training.
Interventions
BEHAVIORALAdvocacy training curriculum
Day-long presentation of an advocacy training curriculum by the state's Brain Injury Association staff: One session per month for 4 consecutive months.
BEHAVIORALSelf-directed
Day-long group-based self-directed advocacy training activity: One session per month for 4 consecutive months.
Sponsors
Mayo Clinic
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* 18 years of age or older * moderate-severe TBI as indicated by one of the following: * post traumatic amnesia (PTA) \> 24 hours * or loss of consciousness \> 30 minutes * or neuroimaging evidence of trauma-related intracranial abnormality * Or the family/significant other of an individual with TBI meeting the above criteria * 1 or more years post-injury * Functional English speaker * Signed consent to participate
Exclusion criteria
* Severe cognitive impairment as indicated by one or more of the following: * Disorientation to person or year * Unable to complete pre-program interview because of severe communication limitations * Unable to remember important information given in the course of the pre-program interview, such as, time and place of program, number of sessions, and contact person * Unable to complete the pre-program interview because of loss of emotional control, such as, extended tearfulness, sustained anger, verbal attack on interviewer
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Score on the Advocacy Behavior Rating Scale | Written and verbal (video) advocacy statements are obtained twice from each subject and rated by blinded investigators: once after consenting and before beginning the group's advocacy activity, and; after the last advocacy activity session 4 weeks later. |
Secondary
| Measure | Time frame |
|---|---|
| Score on the Perceived Control Scale for Brain Injury | The Perceived Control Scale for Brain Injury score is obtained twice from each subject: once after consenting and before beginning the group's advocacy activity, and; after the last advocacy activity session 4 weeks later. |
| The Craig Hospital Inventory of Environmental Factors-Short Form | The Craig Hospital Inventory of Environmental Factors-Short Form score is obtained twice from each subject: once after consenting and before beginning the group's advocacy activity, and; after the last advocacy activity session 4 weeks later. |
| Score on Advocacy Activity Scale | The Advocacy Activity Scale score is obtained twice from each subject: once after consenting and before beginning the group's advocacy activity, and; after the last advocacy activity session 4 weeks later. |
| The SF-12 | The SF-12 score is obtained twice from each subject: once after consenting and before beginning the group's advocacy activity, and; after the last advocacy activity session 4 weeks later. |
| Advocacy Activity Scale | Every 6 months after intervention until the end of the 5-year study period |
| The Satisfaction with Life Scale | The Satisfaction with Life Scale is obtained twice from each subject: once after consenting and before beginning the group's advocacy activity, and; after the last advocacy activity session 4 weeks later. |
Countries
United States
Outcome results
None listed